Contingent Worker Onboarding – Request Form Contingent Worker Onboarding Step 1 of 3 33% Preparer Information Preparer Name(Required) Your name First Last Preparer UW Email(Required) Your UW email address Alternate Contact In the event of your absence, who should be contacted? First Last Alternate Contact UW Email Alternate contact's UW email address EO Assistance(Required) Did you consult with or receive assistance from an Executive Office Shared Environment team member prior to filling out this form? No Yes Team Member Name First Last Employee Information Employee Name(Required) First Last Employee UW Email(Required) Supplier(Required) Employee Unit(Required) -CHOOSE ONE-Academic Personnel & Faculty (APF)Academic Strategy & Affairs (ASA)Attorney General Office (AGO)Division Campus Community Safety (DCCS)Enrollment Management (EM)Executive Office (EO)Shared Governance (SG) APF Sub-Units(Required) -CHOOSE ONE-APF: Faculty AffairsAPF: Faculty DevelopmentAPF: Faculty Inclusive ExcellenceAPF: Vice Provost Leadership & Management ASA Sub-Units(Required) -CHOOSE ONE-ASA: Academic Technologies (AT)ASA: Center for Teaching & Learning (CTL)ASA: Information Services (ASA-IS)ASA: Vice Provost Leadership & Management DCCS Sub-Units(Required) -CHOOSE ONE-DCCS: Emergency ManagementDCCS: Husky Assist Mobile Response TeamDCCS: SafeCampusDCCS: UW Police DepartmentDCCS: Vice President Leadership & Management Enrollment Management Sub-Units(Required) -CHOOSE ONE-EM: AdmissionsEM: International Student Services (ISS)EM: Student Financial Aid (OSFA)EM: University Registrar (OUR)EM: Vice Provost Leadership & Management Executive Office Sub-Units(Required) -CHOOSE ONE-EO: Board of RegentsEO: Environmental Health & SafetyEO: Executive Office of the President & ProvostEO: Health Sciences ServicesEO: Internal AuditEO: OmbudEO: Strategic InitiativeEO: University Rules & PolicyEO: UWINCO Action Request Position Type(Required) New Position Replacement Name(Required) Name of person being replaced First Last Contract Effective Date(Required) MonthMonth123456789101112 DayDay12345678910111213141516171819202122232425262728293031 YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Contract End Date(Required) MonthMonth123456789101112 DayDay12345678910111213141516171819202122232425262728293031 YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 PO Number(Required) Contract Upload(Required) Upload PDF of Contract Accepted file types: pdf, Max. file size: 15 MB. Documentation Upload any additional documentation that would be helpful to EOHR Team when reviewing this request. Max. file size: 15 MB. Additional Information Provide any additional, relevant information on needed action.